Knee Osteoarthritis Pain: Coping Strategies among Elderly Women

Mariam Riad Fahmy¹, Eman Mohamed Alsherbieny² and Hanan Elzeblawy Hassan^3,

¹Nurse Specialist at the Specialized Medical Center, Beni-Suef University Hospitals, Egypt

²Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

³Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

Cite this paper

Mariam Riad Fahmy, Eman Mohamed Alsherbieny and Hanan Elzeblawy Hassan. Knee Osteoarthritis Pain: Coping Strategies among Elderly Women. American Journal of Public Health Research. 2023; 11(3):99-106. doi: 10.12691/AJPHR-11-3-3

Abstract

Background: Coping is generally categorized into four major categories which are problem-focused, emotion-focused, meaning-focused and social coping. The patients with knee osteoarthritis can be coping with it by enjoy leisure activities, don't forget to pamper self, sometimes a change surroundings can help, even if it's just for a day trip. Aim: This study aimed to assess the coping strategies of elderly women suffering from knee osteoarthritis (OA) pain in Beni-Suef city. Design: A descriptive cross-sectional research design was utilized in the current study. Setting: the study was carried out at Beni-Suef university hospital in orthopedics outpatient clinic and the physiotherapy unit. Subjects: A non-probability consecutive sampling technique of a total 300 studied women was recruited in the current study. Tools: Visual Analog scale (VAS) and Pain Coping Inventory (PCI). Results: 70% of studied elderly women had severe pain, 62% almost always think of things that remain undone because of pain, 83.7% had low coping level regarding reducing demands. Conclusion: The active coping strategies that most often applied by the studied women were distraction and pain transformation. While concerning passive coping strategies applied by women were resting and retreat were the most utilized by the studied women. Recommendations: Increase public awareness about efficacy & tolerability of the coping in reducing pain and complications of osteoarthritis through directed program to persons in community.

Keywords

coping strategies, elderly, knee osteoarthritis, pain, women

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	To, B., Ratneswaran, A., Kerr, G., and Beier, F. (2019). Investigating the role of nuclear receptor proliferator-activated receptor delta (PPARδ) in aging and metabolic models of osteoarthritis. Osteoarthritis and Cartilage, 27(95), 267-273.
[2]	Fahmy M., Hassan H., Alsherbieny E.( 2023). Coping Strategies Among Elderly Women Suffering From Knee Osteoarthritis Pain At Beni-Suef City. Nile journal for geriatric and gerontology; 6(1): 148-166.
[3]	Hassan H., Badr Elden S., Hamdi S., Aboudonya M. (2021). Poly- Pharmacy among Elderly Patients: Perception and Practices. Journal of Nursing and Community Medicine; 1(1): 1-6.
[4]	Fahmy M. (2023). E Coping Strategies among Elderly Women Suffering from Knee Osteoarthritis Pain at Beni-Suef City. A Thesis Submitted to Faculty of Nursing, Beni-Suef University.
[5]	Hassanine Sh., Hassan H., Alkotb Z. (2017). Effect of Preventive Program on Progression of Osteoporosis among Female Patients over 40 years at El-Fayoum City. American Research Journal of Nursing; 3(1): 1-15.
[6]	Hassan H., Abozed A., Mohamed A., Ibrahim E. (2021). Compassionate Care Delivery for Elderly Patients: Nurses' Perception. American Journal of Applied Psychology; 9(1): 22-35.
[7]	Hassan H., Badr-Elden S., Hamdi S., Aboudonya M. (2021). Control Poly-Pharmacy: Elderly Patients’ Perception. American Journal of Medical Sciences and Medicine; 9(3): 82-88.
[8]	Mohamed S. (2023). Effect of Deep Breathing and Kegel Exercises on Urinary Incontinence among Elderly Women. A Thesis Submitted to Faculty of Nursing, Benha University.
[9]	Hassan H. (2019). The Impact of Evidence-Based Nursing as The Foundation for Professional Maternity Nursing Practices. Open Access Journal of Reproductive System and Sexual Disorder; 2(2): 195-197. OAJRSD.MS.ID.000135.
[10]	Aboudonya M., Badr Elden S., Hassan H., Hafez S. (2022). Knowledge And Practices Used By Old Age Patients To Control Polypharmacy. Nile journal for geriatric and gerontology; 5(1): 80-91.
[11]	Hassan H. (2020). Evidence-Based Practice in Midwifery and Maternity Nursing for Excellent Quality of Care Outcomes. American Journal of Nursing Research; 8(6): 606-607.
[12]	Runhaar, J., and Zhang, Y. (2018): Can we prevent OA? Epidemiology and public health insights and implications. Rheumatology, 57(4), 3-9.
[13]	Sheha E., Hassan H., Gamel W. (2018). Association between pre-pregnant overweight and obesity and periodontal disease during pregnancy: a cross sectional study. International Journal of Studies in Nursing; 3(1): 1-21.
[14]	Hassan H., Badr Elden S., Hamdi S., Aboudonya M. (2021). Control Poly-Pharmacy: Elderly Patients’ Practices. American Journal of Pharmacological Sciences; 9(2): 56-62.
[15]	Mohamed S., Omran, A, Hassan H., Ramadan E. Effect of Deep Breathing and Kegel Exercises on Urinary Incontinence among Elderly Women. Journal of Nursing Science - Benha University, 2023.
[16]	Honvo, G., Bruyère, O., Geerinck, A., Veronese, N., and Reginster, J. (2019). Efficacy of Chondroitin sulfate in patients with knee osteoarthritis: A comprehensive meta-analysis exploring inconsistencies in randomized, placebo-controlled trials. Advances in Therapy, 36(5), 1085-1099.
[17]	Lindler, B. N., Long, K. E., Taylor, N. A., and Lei, W. (2020). Use of herbal medications for treatment of osteoarthritis and rheumatoid arthritis. Medicines, 7(11), 67-70.
[18]	Martel-Pelletier, J., Maheu, E., Pelletier, J., Alekseeva, L., Mkinsi, O., Branco, J., and Rannou, F. (2018). A new decision tree for diagnosis of osteoarthritis in primary care: International consensus of experts. Aging Clinical and Experimental Research, 31(1), 19-30.
[19]	Ferri, F. F. (2020). Ferri's clinical advisor 2020: 5 books in 1. Philadelphia; Elsevier, p: 1003-1005.
[20]	Ibrahim E., Mahmod A., Elmaghwry A., Hassan H. (2021). Compassionate Care Delivery: Elderlies' Perception. Research in Psychology and Behavioral Sciences; 9(1): 24-32.
[21]	Qalawa Sh., Hassan H. (2017). Implications of Nurse's Moral Distress Experience in Clinical Practice and Their Health Status in Obstetrics and Critical Care Settings. Clinical Practice, 6(2): 15-25.
[22]	Hassan H., Abozed A., Elmghwry A., Ibrahim E. (2021). Compassionate Care: Correlation and Predictors of Nurses’ and Patients’ Opinions. American Journal of Public Health Research; 9(5): 234-243.
[23]	Åkesson, K. S., Sundén, A., Stigmar, K., Fagerström, C., Pawlikowska, T., and Ekvall Hansson, E. (2022). Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study. BMC Musculoskeletal Disorders, 23(1), 298-304.
[24]	Rini, C., Katz, A. W., Nwadugbo, A., Porter, L. S., Somers, T. J., and Keefe, F. J. (2020). Changes in identification of possible pain coping strategies by people with osteoarthritis who complete web-based pain coping skills training. International Journal of Behavioral Medicine, 28(4), 488-498.
[25]	Shamekh, A., Alizadeh, M., Nejadghaderi, S. A., Sullman, M. J., Kaufman, J. S., Collins, G. S., and Safiri, S. (2022). The burden of osteoarthritis in the Middle East and North Africa region from 1990 to 2019. 84(9), 687-690.
[26]	Hawker, G. A., Mian, S., Kendzerska, T., and French, M. (2011). Measures of Adult Pain Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF- MPQ-.), Chronic Pain Grade Scale (CPGS), Short Forrn-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP): Arthritis Care & Research ; 63(S11): S240-S252, American College of Rheumatology.
[27]	Kmaimaat, F.W., and Evers, A. W. (2003). Pain-Coping Strategies in Chronic Pain Patients: Psychometric Characteristics of the Pain- Coping Inventory (PCI). International Journal of I Behavioral Medicine. 10(4): 343-363 Copyright © 2003, Lawrence Erlbaum Associates, Inc.
[28]	Lucić, L. B., and Grazio, S. (2018): Impact of balance confidence on daily living activities of older people with knee osteoarthritis with regard to balance, physical function, pain, and quality of life – A preliminary report. Clinical Gerontologist, 41(4), 357-365.
[29]	Hassan H., Alsherbieny E., Fahmy M. (2023). Daily Living Activity among Elderly Women with Knee Osteoarthritis Pain: Impact of Socio-demographic Characteristics. World Journal of Social Sciences and Humanities; 11
[30]	Hassan H., Alshrbieny E., Fahmy M. (2023). Coping Strategies among Elderly Women with Knee Osteoarthritis Pain at Beni-Suef City: Impact of Socio-demographic Characteristics. Journal of Orthopaedic Science and Research; 4(1): 1-14.
[31]	Alsherbieny E., Hassan H., Fahmy M. (2023). Knee Osteoarthritis among Elderly Women. American Journal of Medical Sciences and Medicine; 11.
[32]	Hassan H., Fahmy M., Alshrbieny E. (2023). Impact of Elderly Women's Knee Osteoarthritis Pain on Daily Living Activity at Northern Upper Egypt. Journal of Orthopaedic Science and Research; 4(1): 1-10.
[33]	Janiszewska, M., Barańska, A., Kanecki, K., Karpińska, A., Firlej, E., and Bogdan, M. (2020). Coping strategies observed in women with rheumatoid arthritis. Annals of Agricultural and Environmental Medicine, 27(3), 401-406.
[34]	Santos, M. G., Damiani, P., Marcon, A. C., Haupenthal, A., and Avelar, N. P. (2020). Influence of knee osteoarthritis on functional performance, quality of life and pain in older women. Fisioterapia em Movimento, 33(2), 1651-1660.
[35]	Martinec, R., Pinjatela, R., and Balen, D. (2019). quality of life in patients with rheumatoid arthritis - A preliminary study. Acta Clin Croat. Mar; 58(1):157-166.
[36]	Clynes, M. A., Jameson, K. A., Edwards, M. H., Cooper, C., and Dennison, E. M. (2019). Impact of osteoarthritis on activities of daily living: Does joint site matter? Aging Clinical and Experimental Research, 31(8), 1049-1056.